DR. CAROLINE E PETERSON DO
NPI 1851377956
Obstetrics & Gynecology in Centerville, OH

Active since December 20, 2005PECOS Enrolled
84.5/100
CMS Quality Rating
7756 WASHINGTON VILLAGE DR STE 135, CENTERVILLE, OH 45459(937) 425-4137(937) 425-4139 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Caroline E Peterson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROLINE E PETERSON DO (NPI 1851377956) is an individual obstetrics & gynecology provider in Centerville, Ohio, licensed in Ohio (34005030) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1851377956
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CAROLINE E PETERSONCredential: DO
Location Address7756 WASHINGTON VILLAGE DR STE 135Centerville, OH 45459-3999
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8493
Fax(937) 425-4139
Sole ProprietorNo
Enumeration DateDecember 20, 2005
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1851377956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 34005030
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
7756 WASHINGTON VILLAGE DR STE 135, Centerville, OH 45459

Secondary Practice Location 1

Location 13700 Southern Blvd Ste 401Kettering, OH 45429-1226 · Phone (855) 500-2873 · Fax (937) 281-3913

Other Identifiers 11

Other0720366OH · United Health Care
Other000000227867OH · Unicare
OtherOC05510OH · Nationwide
Other000000227867OH · Anthem
Other2917001OH · Aetna
OtherD0503006OH · Humana/choicecare
Other34005030POH · Medical License
Medicaid0976243OH
Other160058956OH · Railroad Medicare
Other421534596078OH · Caresource
OtherD0503007OH · Humana/choicecare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Caroline E Peterson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Caroline Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
1989 MIAMISBURG CENTERVILLE RD, SUITE 204
Dayton, OH 45459
  • Reassigned Medicare billing, Ohio enrollment
  • 105 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services67 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
49 services49 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
7756 WASHINGTON VILLAGE DR STE 135
CENTERVILLE, OH 45459
Nurse Practitioner (Women's Health)
7756 WASHINGTON VILLAGE DR STE 135
CENTERVILLE, OH 45459
Nurse Practitioner (Family)
7756 WASHINGTON VILLAGE DR STE 135
DAYTON, OH 45459

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Peterson's NPI number?

The NPI number for Caroline Peterson is 1851377956. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Caroline Peterson located?

Caroline Peterson practices at 7756 Washington Village Dr Ste 135, Centerville, OH 45459. The listed phone number is (937) 425-4137.

What is Caroline Peterson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Caroline Peterson enrolled in Medicare?

Yes. Caroline Peterson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Caroline Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Peterson reassigns Medicare benefits to 2 organizations: Dayton Osteopathic Hospital (Dayton, OH) and Kettering Independent Medical Group Inc (Miamisburg, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Peterson accept?

Health plans from CareSource list Caroline Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caroline Peterson was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.